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Depression - FAQ

From Parents/Families

Are others in the family at risk for depression?

Depression does appear to have a genetic component. Risk of depression in first degree relatives of a person with depression is about 2 times as high as someone in the general population.

Is there depression-related research that the family might be interested in?

Please see the section on “Studies and Registries” under Treatment & Management, and also under Resources for good links to information in research.

My child was diagnosed with depression. How long will he/she need treatment?

Depression is most commonly episodic. Episodes can last from months to years. The majority of episodes will last from 6 months to one year, so the general recommendation for medications is that they be continued for at least one year from symptom improvement. By analogy, therapy should probably continue at least that long.

Once a depressive episode is resolved, what is the chance it will come back?

Depression is most often recurrent. Up to 70% of adolescents with Major Depression will experience some degree of recurrence within 5 years.

Are antidepressants safe in children and adolescents? I heard that they could cause suicidal thinking.

In about 4% of children and adolescents participating in studies of antidepressants, some degree of worsening of suicidal thinking occurred. It is important to note that suicidal thoughts are also a symptom of depression, and these studies were not designed primarily to assess for this side effect. Even more important to note is that in over 4000 subjects, 0 committed suicide in these studies. For more detail on this topic, see “Suicide” under Related Issues.

Is it OK to just do psychotherapy for depression?

In some cases of mild to moderate depression, psychotherapy alone may be a reasonable treatment option. This decision should be made in collaboration with your clinician. Be aware that the positive effects of psychotherapy may take longer to realize than those of medication.

Authors

Author: Thomas G. Conover MD, 12/2009
Content Last Updated: 12/2009